Training Request Form Page 2

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Budget
Total Grant Award
Amount Requested to Date (not including this request)
Balance
Travel Costs
Please complete the following chart using estimated cost for travel:
Summary of
How to Calculate Travel
Calculation of Travel
Travel Costs
Costs
Costs
Costs
Airfare
Price of airfare, inclusive tax
$
and fees
Lodging
Number of days and
$
approved rate/day
Per Diem
Number of days and
$
approved rate/day; deduct
meals provided at
training/conference if
applicable
Registration
Price of registration
$
Mileage
Number of miles and
$
approved mileage rate
Shuttle/Taxi/Rental
Actual cost for
$
Car/Public
shuttle/taxi/rental car/public
Transportation
transportation
Total Cost
$
Submit completed form to:
Susan Hannibal for DV-related trainings (hannisk@dshs.wa.gov)
Trisha Smith for SA-related trainings (trisha.smith@commerce.wa.gov)
Chris Fenno for VOC-related trainings (christine.fenno@commerce.wa.gov)
DSHS/OCVA Use Only:
☐ Request Approved
Justification:
☐ Request Denied
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